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Become A Medical Record Consultant

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Working As A Medical Record Consultant

  • Getting Information
  • Processing Information
  • Documenting/Recording Information
  • Interacting With Computers
  • Organizing, Planning, and Prioritizing Work
  • Mostly Sitting

  • Repetitive

  • $76,000

    Average Salary

What Does A Medical Record Consultant Do

Medical records and health information technicians, commonly referred to as health information technicians, organize and manage health information data by ensuring that it maintains its quality, accuracy, accessibility, and security in both paper files and electronic systems. They use various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients’ medical and treatment histories.

Duties

Health information technicians typically do the following:

  • Review patients’ records for timeliness, completeness, accuracy, and appropriateness of data
  • Organize and maintain data for clinical databases and registries
  • Track patient outcomes for quality assessment
  • Use classification software to assign clinical codes for reimbursement and data analysis 
  • Electronically record data for collection, storage, analysis, retrieval, and reporting
  • Maintain confidentiality of patients’ records

Health information technicians document patients’ health information, including their medical history, symptoms, examination and test results, treatments, and other information about healthcare services that are provided to patients. Their duties vary by employer and by the size of the facility in which they work.

Although health information technicians do not provide direct patient care, they work regularly with registered nurses and other healthcare professionals. They meet with these workers to clarify diagnoses or to get additional information to make sure that records are complete and accurate.

The increasing adaptation and use of electronic health records (EHRs) will continue to change the job responsibilities of health information technicians. Technicians will need to be familiar with, or be able to learn, EHR computer software, follow EHR security and privacy practices, and analyze electronic data to improve healthcare information, as more healthcare providers and hospitals adopt EHR systems.

Health information technicians can specialize in many aspects of health information. Some work as medical coders, sometimes called coding specialists, or as cancer registrars.

Medical coders typically do the following:

  • Review patient information for preexisting conditions, such as diabetes
  • Assign appropriate diagnoses and procedure codes for patient care, population health statistics, and billing purposes
  • Work as a liaison between the health clinician and billing offices

Cancer registrars typically do the following:

  • Review patients’ records and pathology reports to verify completeness and accuracy
  • Assign classification codes to represent the diagnosis and treatment of cancers and benign tumors
  • Conduct annual followups to track treatment, survival, and recovery
  • Compile and analyze cancer patient information for research purposes
  • Maintain facility, regional, and national databases of cancer patients

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How To Become A Medical Record Consultant

Health information technicians typically need a postsecondary certificate to enter the occupation, although some may need an associate’s degree. Certification is often required.

Education

Postsecondary certificate and associate’s degree programs in health information technology typically include courses in medical terminology, anatomy and physiology, health data requirements and standards, classification and coding systems, healthcare reimbursement methods, healthcare statistics, and computer systems. Applicants to health information technology programs may increase their chances of admission by taking high school courses in health, computer science, math, and biology.

A high school diploma or equivalent and previous experience in a healthcare setting are enough to qualify for some positions, but most jobs for health information technicians require postsecondary education.

Important Qualities

Analytical skills. Health information technicians must be able to understand and follow medical records and diagnoses, and then decide how best to code them in a patient’s medical records.

Detail oriented. Health information technicians must be accurate when recording and coding patient information.

Integrity. Health information technicians work with patient data that are required, by law, to be kept confidential. They must exercise caution and a strong sense of ethics when working with this information in order to protect patient confidentiality.

Interpersonal skills. Health information technicians need to be able to discuss patient information, discrepancies, and data requirements with other professionals such as physicians and finance personnel.

Technical skills. Health information technicians must be able to use coding and classification software and the electronic health record (EHR) system that their healthcare organization or physician practice has adopted.

Licenses, Certifications, and Registrations

Most employers prefer to hire health information technicians who have certification, or they may expect applicants to earn certification shortly after being hired. A health information technician can earn certification from several organizations. Certifications include the Registered Health Information Technician (RHIT) and the Certified Tumor Registrar (CTR), among others.

Some organizations base certification on passing an exam. Others require graduation from an accredited program. Many coding certifications also require coding experience in a work setting. Once certified, technicians typically must renew their certification regularly and take continuing education courses.

A few states and facilities require cancer registrars to be licensed. Licensure requires the completion of a formal education program and the Certified Tumor Registrar (CTR) certification.

Advancement

Health information technicians may advance to other health information positions by receiving additional education and certifications. Technicians may be able to advance to a position as a medical or health services manager after completing a bachelor’s or master’s degree program and taking the required certification courses. Requirements vary by facility.

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Medical Record Consultant Career Paths

Medical Record Consultant
Epic Consultant Consultant Manager
Service Manager
6 Yearsyrs
Epic Consultant Consultant Office Manager
Practice Manager
9 Yearsyrs
Epic Consultant Consultant Case Manager
Nursing Director
9 Yearsyrs
Cerner Consultant Physician Nurse Practitioner
Registered Nurse Supervisor
7 Yearsyrs
Cerner Consultant Physician Clinical Instructor
Nurse Manager
9 Yearsyrs
Cerner Consultant Physician Medical Coder
Health Information Manager
7 Yearsyrs
Registered Nurse Registered Nurse Supervisor
Registered Nurse Case Manager
8 Yearsyrs
Registered Nurse Staff Nurse Registered Nurse Supervisor
Assistant Director Of Nursing
7 Yearsyrs
Registered Nurse Registered Nurse Supervisor Registered Nurse Case Manager
Registered Nurse Manager
8 Yearsyrs
Epic Credentialed Trainer Instructional Designer Program Manager
Clinical Director
9 Yearsyrs
Epic Credentialed Trainer Analyst Case Manager
Patient Care Manager
5 Yearsyrs
Epic Credentialed Trainer Team Leader Unit Manager
Nurse Case Manager
9 Yearsyrs
Implementation Consultant Operations Manager Service Director
Director Of Support Services
9 Yearsyrs
Implementation Consultant Operations Manager Practice Manager
Clinical Operations Manager
10 Yearsyrs
Implementation Consultant Office Manager Business Office Manager
Medical Records Director
5 Yearsyrs
Staff Nurse Utilization Review Nurse
Consultant Nurse
11 Yearsyrs
Staff Nurse Consultant Nurse Nursing Director
Health Director
9 Yearsyrs
Trainer Analyst Medical Coder
Medical Records Manager
5 Yearsyrs
Trainer Licensed Practical Nurse Utilization Review Nurse
Quality Management Specialist
7 Yearsyrs
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Top Skills for A Medical Record Consultant

  1. Medical Records
  2. Cpoe
  3. Cerner
You can check out examples of real life uses of top skills on resumes here:
  • Review Medical records for compliance and proper documentations and justification of services for Medicare- Medicaid and Third Party Rejections and reassignments.
  • Provided CPOE order entry support to clinicians in CERNER POWERCHART at main facility and Cancer Center.
  • Participated in Go-Live Cerner-Providing Elbow support to staff Registration & scheduling
  • Provide elbow support to Physicians, nurses, and pharmacists as well as Floor support/ Super-Users during implementation.
  • Supported providers in medication resolutions during admission, discharge and transfer.

Medical Record Consultant Demographics

Gender

Female

57.8%

Male

29.6%

Unknown

12.6%
Ethnicity

White

61.1%

Black or African American

13.8%

Hispanic or Latino

12.7%

Asian

8.2%

Unknown

4.2%
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Foreign Languages Spoken

Spanish

63.6%

Arabic

18.2%

Greek

9.1%

French

9.1%
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Medical Record Consultant Education

Schools

University of Phoenix

17.0%

Cuyahoga Community College

8.5%

University of Toledo

6.4%

University of Southern Mississippi

6.4%

Strayer University

5.3%

Indiana University - Purdue University Indianapolis

4.3%

University of Arkansas at Little Rock

4.3%

Chicago State University

4.3%

University of Central Florida

4.3%

University of Missouri - Columbia

4.3%

Seton Hall University

4.3%

Kaplan University

4.3%

Northeastern University

4.3%

University of Northern Colorado

3.2%

Troy University

3.2%

Wayne State University

3.2%

Saint Louis University-

3.2%

Kansas State University

3.2%

Pace University - New York

3.2%

The Academy

3.2%
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Majors

Nursing

20.0%

Business

19.3%

Health Care Administration

13.6%

Computer Information Systems

10.6%

Computer Science

4.2%

Information Technology

3.7%

Management

3.0%

Education

2.7%

Health Sciences And Services

2.7%

Medical Assisting Services

2.5%

Public Health

2.0%

Criminal Justice

2.0%

Psychology

2.0%

English

1.7%

Project Management

1.7%

Music

1.7%

Human Resources Management

1.7%

Marketing

1.7%

Communication

1.5%

Medical Technician

1.5%
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Degrees

Bachelors

36.0%

Other

19.4%

Masters

19.0%

Associate

15.2%

Certificate

5.9%

Doctorate

1.9%

Diploma

1.7%

License

0.9%
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